Provider Demographics
NPI:1730788803
Name:ALLEN, PAMELA SUE (MSW, LCSW, E-RYT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MSW, LCSW, E-RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 PLAINS CT
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2906
Mailing Address - Country:US
Mailing Address - Phone:630-823-1226
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER RD STE 1604
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4787
Practice Address - Country:US
Practice Address - Phone:630-474-4318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical